HealthStream Provides SimManager for Medical Simulation Success


At the International Pediatric Simulation Symposia and Workshop last month, HealthStream was on hand to explain the benefits of SimManager, a cloud-based platform designed to help with every aspect of operating a medical simulation program. While you can watch my part 1 and part 2 of my video recap summarizing the pediatric simulation IPSSW event, below is the full interview with Lisa Kinakin, Healthcare Regional Account Manager at HealthStream. We covered how HealthStream can assist with managing competency review through blended learning applications, and how SimManager helps administrators oversee staff, equipment, leaners, scenario licenses, spaces and much much more…

Interview Recap:

Lisa: HealthStream is on the cutting edge of simulation in terms of education. Our newly developed platform is called SimManger, which is a part of the joint SimCenter venture with Laerdal. The idea behind SimManager is to have a internet-based, cloud-based platform where people can take care of all of their simulation educational management needs. They can manage resources, they can download scenario from SimStore, they can setup classes and content, and much more. Overall SimManager has been shown to be a very effective tool in helping primarily hospitals but also educational programs develop and operate their simulation programs.

Lance: One of the major topics here today at IPSSW 2013 has been blended learning, can you talk to us about how HealthStream can support that in healthcare education/training?

Lisa: Well you know Lance that HealthSteam’s primary focus our learning management platform. We started with education in the hospital setting and have grown now to be in one out of every two hospitals in the United States. Remaining on the cutting edge in terms of simulation means we had to move into the next level. Fortunately HealthStream has a continuum in the blended learning environment. We begin with our courseware, we move into a soft simulation using HeartCode, and then we move into scenarios using high-fidelity simulators. We really have the scope of blended learning at our fingertips which I think thats really important in this venue to be able to approach all of those.

Lance: Right. So another huge area covered here today has been about research in terms of implementing simulation to as a way to maintain competency not only in initial training such as residency type skills but also in hospital rotations, whether that be in-situ or just-in-time training to maintain most of that retention  Can you talk to us about how SimManager can be used as a platform to schedule and maintain this type of ongoing program and culture of simulation training?

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Lisa: We feel strongly that competency is an ever-changing ever-flowing thing that you don’t just take a one time skills test and you’re done – but it is something that is actionable and that people need to constantly be taking a look at competency in term of an ongoing evolution over time and skill level. SimManager is a great platform in order to maintain those competencies; for example taking a look at your classes, making sure your curriculum is where it needs to be, using a schedule to building in simulation events and scheduling courses, downloading scenarios and allocating them to simulators – all of that is just part of the functionality of simmanager which is an excellent platform to use when evaluating competency.

Lance: Having directed a medical simulation center, there is a serious underestimation about the amount of time and energy it takes to running a medical simulation program initially and ongoing. And so tools that allow for administrators to start and engage with a continual process to manage tools, equipment, staff and learners, rooms, scheduling, scenarios is definitely something folks should consider for that long-term implementation of a program. It’s not just about that initial funding for equipment, but it will really require permanent staff, training, and time to prepare and engage in ongoing competencies.

Lisa: Absolutely, and there are so many moving parts to manage competencies  Even the AHA is moved into the maintenance of those skills. So HealthStream is very supportive of those organizations that also want to hone in on those competencies and make sure their staff is component in that flowing environment and be able to capture that data through our tools.

healthstream simulation

SimManager capabilities include:

  • Ability to manage simulation rooms, equipment, instructors, and techs
  • Track, manage, and report
  • Schedule and assign simulation learning activities
  • Manage simulation content
  • Integrate simulation scenarios into learning curricula
  • Customize role management
  • Schedule reports for simulator utilization and activity
  • Upload and store simulator debriefing files
  • Capture activity on learner transcripts
  • Integrate with Laerdal simulators
  • Integrate with SimCenter product suite, including SimStore, SimDeveloper & SimView

You can learn more about SimManager features by watching my comprehensive product breakdown article below:

You can learn all about SimManager and other SimCenter systems at the HealthStream website.

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SimManager Product Demo Video & Interview


The SimManager platform, which was developed by SimVenture (a joint collaborative of HealthStream & Laerdal Medical), was on display at IMSH 2013 at the SimCenter booth, right across from the Laerdal space. SimManager is an individual component of SimCenter, which also includes SimStore, SimDeveloper and SimView. To better understand the relationship between these SimCenter components and the specific tools of SimManager I recorded an interview with Solutions Manager Lydon Small.

Watch the comprehensive video below to learn more about SimManager as well as to understand why such management systems can dramatically increase efficiency and reporting for your medical simulation program:

What I learned about SimManager

SimManager is a cloud-based software service that requires an ongoing subscription fee automatically updated since there are no onsite hardware needs.  SimManager is the back-end scheduling, reporting and content management system for operating the day-to-day needs of a healthcare simulation lab.  SimManager schedules lab video recordings through SimView and holds purchased scenarios through SimStore.


SimManager can help you schedule an event using existing templates and modify those needs depending on the specific lesson plans for that day. Users can be given different administrative control capabilities, which means you can choose who can edit the calendar and how can view it, or request space.  Having one person approve requests or create the calendar will certainly increase your program efficiency overtime and reduce scheduling headaches.  Note that additional SimView systems that are utilized to capture simulation events are a hardware/software solution which currently provide log files back to SimManger (with plans to connect video in the future). In this sense, these different SimCenter components offer modular solutions that can be specific to the needs of your current or future simulation program.

SimManager also allows you to create exportable reports of room utilization that hold specific pieces of equipment in-order to better demonstrate ROI. Furthermore, SimManager allows for learner tracking to better identify changes in performance.  This kind of tracking is crucial to demonstrate to higher levels of administration how staff, equipment and supplies are being utilized by the program.

Of course, purchased SimStore scenarios, handlers, trends and other multimedia components can be connected and controlled through SimManager, letting your allocate which licenses are utilized by which pieces of equipment.

HealthStream SimManager Features:

  • Ability to manage simulation rooms, equipment, instructors, and simulation technicians.
  • Can track, manage, and report
  • Schedule and assign simulation learning activities
  • Manage simulation content
  • Integrates simulation scenarios into learning curricula
  • Can customize role management to create varying access levels for administrators
  • Configure and schedule reports for simulator utilization and activity
  • Upload and store simulator debriefing files
  • Capture simulation activity on learner transcripts
  • Integrates with Laerdal simulators
  • Integrates with SimCenter product suite, including SimStore, SimDeveloper, and SimView

Visit the HealthStream SimCenter webpage, the HealthStream Blog and to learn more!

HealthStream reminds us “Simulation-based Training Enhances Obstetrics Education”

(Reposted from HealthStream’s blog)

A Medical Simulation-Based Training Success Story for Allina Hospitals & Clinics, Minnesota & Wisconsin, U.S.


Both mother and baby can experience significant harm if they experience Shoulder Dystocia (SD), a serious obstetric emergency. Injuries of this sort are among the leading causes for hospitals to be involved in obstetric litigation cases in the United States. Among Minesota- and Wisconsin-based Allina Hospitals & Clinics, a simulation customer of HealthStream partner Laerdal Medical, SD occurred between under 3% of the time, which left obstetric clinical professionals feeling inadequately prepared for this emergency event. The obstetric management staff introduced simulation training so that clinicians could practice their learned skills, experience the condition, and make mistakes in its treatment safely.

Positive feedback During Simulation Training Helps Clinicians Get it “Right”


birthing simulatorHands-On Simulation Training supplemented films and literature review and discussion for each training class. Physicians and nurses, who understood their roles and how they should act in this sort of an emergency, communicates and performed the same as if this were a actual patient  situation. During the ‘hands-on’ training, the PROMPT Birthing Simulator from Laerdal Medical was set up in a delivery room. In a hybrid simulation environment, a nurse acted as the delivering mother, sitting in the bed behind the simulator and enhancing the experience of a live clinical environment. As the simulation progressed, the acting “mother” positioned the infant in the birth canal and the simulator measured how the strength with which physicians worked to extract the baby as delivery occurred. Different maneuvers and techniques were used by individual clinicians, including breech, vacuum, forceps, normal delivery, and SD.


Simulation-Based Training Improves Quality & Speed of Response to SD & Other Birthing Complexities

Adverse events occurred with much less frequency during the simulated delivery and in actual practice thereafter:

  • 10.5% of all SD babies  had an APGAR score less than 7 at 5 min. in 2007. Only 1.2% were scored below 7 in 2009.
  • Maternal hemorrhage subsequent to SD delivery fell from 10% to 6.7%
  • brachial plexus injuries and uterine ruptures were diminished
  • At least one facility measured a decrease in the amount of time that occurred between identification of SD and delivery

Physicians gave high marks to the simulation-based training program

Five PROMPT Simulators placed in three Allina metro hospitals as well as at the corporate offices for training use. Allina’s Pregnancy Care Council strongly recommends training participation; some hospitals make it a requirement for credentialing. Even physicians who were initially recalcitrant now have come around to an endorsement. And, all participants  said the hands-on training was particularly beneficial. Many said, “this was the best class I’ve been to in years.” “The data is dramatic,” said a hospital representative. “We’re strong believers. It has worked out very well for us.”

Learn More About Improving Outcomes with Simulation.

Visit SimCenter to Learn More.

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SimView “A/V Capturing” from Laerdal & HealthStream

laerdal simview

SimView was released by SimVentures, a joint HealthStream & Laerdal project*, earlier this year at IMSH 2012, alongside the new SimPad, which continues their line of “SimCenter” based products and services.  Replacing the very-much-out-of-date Debrief Viewer “AVS” desktop, the new SimView release brings Laerdal back into the market for medical simulation debriefing systems. I had a chance to talk on camera with Jeff from Laerdal and learn more about the new SimView audiovisual capture and management hardware & software packages. (*Edit: 1/15/13 – SimView is co-developed & co-owned by both Laerdal & HealthStream.)

What immediately caught my attention about SimView was the Hi-Definition (HD) capability of this new a/v system.  At this time, only a handful of other products on the market support HD capture and playback.  HD has about 5x the resolution of standard definition digital recording platforms and so you really are getting a lot higher quality images with an HD based system. While the bandwidth necessary to operate a system will need to be much larger (and thus cost more for higher network and storage capabilities) the reality is that very soon standard definition will no longer exist as a visual medium, and so moving towards an HD-based system now will save your simulation program a lot of headache in the decade to come.  So again for quality and longevity and if you can afford it, I highly recommend looking into HD based a/v systems for your current and future medical simulation labs. The SimVentures Simview control system…

Laerdal SimStore: A HealthySim Tour

“SimCenter makes your simulation experience easier and more rewarding than ever. For the simulation novice to sophisticated developers, SimCenter has the tools and services to help every user realize their full potential.”

(Increase the youtube stream quality to 1080HD and watch in full screen for best viewing)

In the video above, Lance From tours the Laerdal SimCenter’s “SimStore” and walks through the process to purchase a simulation scenario. Lance covers the benefits of simstore, how to find your scenarios, free scenario trials, costs, licensing, and more!

Think of SimStore as the “iTunes” of medical simulation scenarios, where you can browse, sample and purchase simulation scenarios for a plethora of disciplines and in a variety of platforms.

Scenario Simulator Types include everything from the SimMan3G to the SimBaby, SimMan Essential, SimJunior, Vital Sim and even for Standardized Patients.  Scenarios are available for the following disciplines:

  • Clinical Medicine
  • Medical School
  • Clinical Nursing
  • Nursing School
  • Clinical Emergency Medical Services (Pre-hospital)
  • Emergency Medical Services (Pre-hospital)
  • Clinical Allied Health
  • Allied Health Schools
  • Military
  • Patient Safety/Risk Reduction
  • Interdisciplinary
  • Community Health & Public Safety

Read my original post when Laerdal announced SimCenter at IMSH 2011.

And be sure to visit Laerdal’s SimCenter today to learn more!

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Laerdal Unveils SimCenter at IMSH 2011

This past week at IMSH 2011 in New Orleans, Laerdal and their partner HealthStream announced “SimCenter”, a comprehensive online medical simulation management system. Within SimCenter there are four components for your healthcare simulation program: SimStore, SimDeveloper, SimManager and SimView. I spent some time with the folks from Laerdal learning more about SimCenter’s SimStore and SimDeveloper and created another little video to share all these new systems with you!

I especially want those of you who have worked hard to create some high-quality medical simulation scenarios to learn more about SimDeveloper, as Laerdal has found a way to financially reward you!

Be sure to check out the SimCenter Press Release and to get all the latest details about SimCenter before its release in March!

Laerdal Teases Us with New Project “SimCenter”

Promising that SIMCENTER will be “Making Healthcare Simulation Easier”, the website promises a FREE gift to be provided after SimCenter is unveiled by Laerdal at IMSH in a few weeks.

Check it out at:

I’m not sure what the free gift for medical simulation users is yet — but I am excited to learn more!

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